Provider Demographics
NPI:1811761851
Name:TOASTON, DANDRELL
Entity type:Individual
Prefix:
First Name:DANDRELL
Middle Name:
Last Name:TOASTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SW 160TH ST APT 33
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3000
Mailing Address - Country:US
Mailing Address - Phone:206-474-0525
Mailing Address - Fax:
Practice Address - Street 1:320 SW 160TH ST APT 33
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3000
Practice Address - Country:US
Practice Address - Phone:206-474-0525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator